resourcesABOUT MT AUTHOR GUIDELINES CLASSIFIEDS EDITORIAL CALENDAR MEDIA GUIDE MASSAGE MART SCHOOLS & EDUCATION FEEDBACK
Keep Seniors Safe: Age-Proofing the Home
I want to give Dr. Claudia Anrig kudos for her Dec. 1, 2014 column, which highlighted safety issues youngsters might encounter in the home.
TCM Congress in Rothenburg is Largest in Western World
In the medieval town of Rothenburg, deep set within the Bavarian countryside in Southern Germany, the TCM Kongress Rothenburg each year draws around 1.200 participants from more than 40 different countries to attend the biggest TCM conference in the Western world.
How We Can Help the Injured Brain
The majority of patients with mild traumatic brain injuries recover within seven to 10 days. If concussion signs and symptoms continue beyond seven days, the diagnosis changes from acute concussion to post-concussion syndrome.
God and the Chiropractor
My wife went to church last Wednesday night and brought home a CD of the pastor's message. As she handed it to me, she said, "You should listen to this; you'll like it." Our family regularly goes to church and our faith plays a major role in our lives.
Pain Is Only a Piece of the Puzzle
More often than not, when a patient presents to the office, it is for a pain complaint: headache, neck pain, low back pain, sciatica, carpal tunnel, etc.
Treating Beyond Pain
More often than not, when a patient presents to the office, it is for a pain complaint. Headache, neck pain, low back pain, sciatica, carpal tunnel... The pain is often the focus of the patient's mindset, and they don't often have any thought of what comes after the pain.
Recreational Cannabis Use and TCM
Many people are drawn to cannabis for its effects physically, mentally and emotionally. Medically, cannabis has some legitimate uses, however the scope of this article is limited to the recreational use of cannabis.
Synergy Doesn't Happen in Silos: Acupuncture in Hospitals and Other Healthcare Settings
As acupuncture and traditional East Asian medicine continue to intersect and integrate with biomedical approaches, the conversation about integration expands and becomes richer.
Viewpoints: Massage Reduces Nonspecific Shoulder Pain, Improves Function
While seemingly universal, pain and stiffness in the shoulders can be a significant cause of disability. Often a pain that does not go away on its own, shoulder complaints tend to linger, sometimes for 12 months or longer.
Will You Be an Amplifer or a Mute?
These times are changing, and changing quickly. There have been many challenges to this profession throughout the past few years. The challenge is to talk, then talk and talk some more about this medicine.
The Dietary Supplement Research Dilemma
I do not care what the truth is, one way or another; I just want to know it. And when it comes to dietary supplements, the truth can be hard to find for a number of reasons.
The Way We Are Designed: A Conversation with Gil Hedley, PhD
I was first introduced to the work of Gil Hedley by Tom DiFerdinando. He gifted me Gil's DVD series.
Joint Supplements for Athletes (Part 2)
A fairly recent discovery in nutrition supplemental medicine has proven to be a breakthrough in maintaining athletic joint health. Research suggests a combination of undenatured type-II collagen and tetrahydro-iso-alpha acids helps revitalize joint function and performance in athletes.
Converting More Patients to Your Practice
In 2013 and 2014, the theme was "the money is in the list." This meant that if you had a big email list, you were really making some "cha-ching." Unfortunately, having thousands of emails doesn't equate to thousands of dollars in profit.
News in Brief
ACA Exec. Vice President Out, Acting EVP In; F4CP Executive Director Retires; New ED Named.
The Need for a New Medical Model: A Challenge for Biopsychosocial and Ecopsychologica Medicine
Chinese medicine speaks of alignment between humans, heaven and earth. It is a complex view with a focus upon relationship. These are comprehensive ideas with no specific terms in contemporary medical practice.
Older Patients, Stroke Risk and Manipulation
The first population-based study in the United States to evaluate stroke risk following spinal manipulation – and the first involving older adults – suggests that "[c]hiropractic cervical spine manipulation is unlikely to cause stroke in patients aged 66 to 99 years with neck pain.
There Really is No Room for Sexism
Recently, Matteo* (a transgender male) approached me during a break in an advanced shiatsu class in Berlin where he was one of two men in a group of 20 women. "Pamela. Don't forget to remind the translator to include male endings."
What Do You Know About Physician Compare?
Physician Compare is a website that allows consumers to search for and obtain information about physicians and other health care professionals who provide Medicare services.
Striking a Blow to the Medical Monopoly
The U.S. Supreme Court has issued a landmark ruling in North Carolina State Board of Dental Examiners v Federal Trade Commission.
Managing Tibialis Posterior Tendon Injuries
The tibialis posterior is the deepest, strongest and most central muscle of the leg, with fibers originating from the tibia, fibula and interosseous membrane.
An Excerpt from TCM Case Studies: Pediatrics
This excerpt is reprinted with permission from Jamie Wu. TCM Case Studies: Pediatrics was released in 2014 by People's Medical Publishing House.
Treating GERD and Incontinence: Focus on Trigger Points
Gastroesophageal reflux disease (GERD) is defined as the regurgitation of stomach acid in the esophagus. Previously, it was thought that GERD was caused by a hiatal hernia, but recent trials suggest the cause is an inability of the hiatal sphincter to contract normally.
January, 2010, Vol. 10, Issue 01
Heating Up Your Practice Safely, Part 2
By Dixie Wall, Contributing Editor
In December's issue1 we discussed heat therapies and their positive effects in the treatment room. We covered treatment procedures such as skin typing, which will help us give an effective heat therapy treatment while minimizing the risks of burns. We mentioned the use of an informed consent document during the preliminary consultation and reviewed the most common mistakes that can lead to accidental burns. This month, we will discuss the gathering and assessment of subjective and objective information to formulate the best treatment plan for our clients.
First we will begin by reviewing the physiological effects of heat on the body. These involve the endocrine, circulatory and nervous systems. The body's temperature is regulated by the hypothalamus (endocrine system), which strives to keep the body in balance. Common therapeutic responses of the circulatory system include increased circulation and blood flow to the muscles by the vasodilatation of the peripheral nervous system. Sometimes the client will feel slightly sedated from heat by the release of neurotransmitters that tend to make us feel good and cause a decrease in pain and joint stiffness.
Nevertheless, there are certain conditions, diseases and body types that may cause abnormal reactions to heat therapy and/or compromise a client's perception of heat. There are several types of heat therapies used by massage therapists, the most popular include: hot stones, immersion baths, electric heating pads, moist heat packs (hydrocollater packs) and infra-red saunas. In order to use these tools safely, we must remain flexible to our client's individual needs by incorporating our intuition and professional knowledge. It may be best to check first with a client's primary care physician when working with sick patients. A certain client's condition or symptoms may be exacerbated by heat therapies. Considering the aforementioned therapies, what are the subjective and objective factors to consider when treating with heat therapies?
The first precautionary measure we can take is by simply asking our clients for a basic medical history. These findings are subjective unless we actually talk to, or receive a note from, a client's primary care physician confirming diagnosis given by the client. Most therapists gather subjective information by an initial interview where the client fills out a complete medical history on their first visit. This document should include, but is not limited to: medical background including medications and supplements, and an informed consent. Some therapists include an extra form specifically for hot stones, or other types of modalities to be filled out by the clients before treatment. Here are some of most common contraindicated and cautioned diseases and conditions to be aware of with use of heat therapies:
Contraindicated diseases and conditions:
Acute conditions and special needs clients:
Subjective information is essential, however, objective observations are equally important and effective when creating a treatment plan for clients. By careful observation, we can use our intuition to determine the particular need of each client. For example, noticing that a client is generally in a hurry, feels "hot," tends to sweat easily or is easily irritated may raise a red flag for heat therapies. This client's symptoms point to a general heat pattern in the body and may be exacerbated by adding more heat.
Many types of alternative medical practitioners use subjective and objective information in order to reach a diagnosis and treatment plan for their patients. Legally we cannot diagnosis, but a therapist can still gather information to formulate the best treatment plan for each individual client.
In traditional Chinese medical theory, a practitioner may avoid heat therapies such as moxabustion and fire cupping on certain types of patterns of disharmony or disease. A diagnosis or pattern of disease may indicate whether or not the patient has a too much or not enough heat. Generally, Eastern doctors will not use heat therapies on heat patterns (excess yang or deficient yin/ hot body types) but will use them on patients who have cold patterns (excess yin or deficiency of yang/cold body types) in their diagnosis to warm up the body. The practitioner's intention is to promote the balance of hot (yang) and cold (yin) within the body.
From a similar perspective, Ayuervedic medicine also tries to achieve balance through body typing and diagnosis, and tends not to use heat therapies on people with a high pitta conditions (since pitta represents the fire-water element in the Ayurvedic tradition).
If still not sure on whether or not to use heat, a therapist can palpitate the client's pulse. From a traditional Chinese medicine perspective, pulses over 80 beats per minute (BPM) indicate a mild heat condition and a pulse over 90 BPM indicates a severe heat condition. However, pulse rates can be affected by many factors that should always be considered.
Ultimately, we must always make the client's well-being our top priority by creating balance through the use of our modalities. We must remain flexible based on our clients' needs. Coupling both our intuition and education, we can provide safe and effective treatments for our clients. As always, I welcome and appreciate any comments or concerns at .
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